Release Of Liability

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FORM 3B.59 RELEASE OF LIABILITY
Mortgage Loan Number ___
The undersigned, [bank], hereby releases [name] from liability by virtue of that certain note and mortgage entered into
[date] between [name] and [bank], in the principal amount of $_____ [Bank] has caused this to be executed the [date].
Witnesses:
[bank]
[signatures]
[signature]
State of ________________________
}
County of ______________________
I HEREBY CERTIFY that on this day personally appeared before me an officer duly authorized to administer oaths and
take acknowledgements, [name of officer] of [bank], a corporation to me well known to be the person described in and who
executed the same for the purpose therein expressed as the act and deed of said Corporation.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal at [city], and the County and State this
[date].
[signature]
Notary Public, [state]
My Commission Expires: [date].

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